Individual provider · Type 1 NPI

Gregg Andrew Jacob, DMD

Oral and Maxillofacial Surgery (Dentist) · Florham Park, NJ

NPI number 1164540233 Active

Practice location

83 Hanover Rd Ste 240
Florham Park, NJ 07932-1508

Fax (973) 360-1101

Other practice locations

  • 2001 Marcus Ave, Ste N-10, New Hyde Park, NY 11042-1011 · (516) 775-1818

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X22DI02252800 (NJ)
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X054217-1 (NY)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

4 other providers at this address

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About NPI 1164540233

Gregg Andrew Jacob, DMD's National Provider Identifier is 1164540233, issued on Mar 27, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Florham Park, NJ. The record was last updated on Mar 17, 2018.